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Qregan Department ~ Transportation <br /> PAGE NO . 1 <br /> IILING DATE <br /> 01102!07 19:18 <br /> CCOUNT N0. <br /> SEE BELOW <br /> TO ENSURE PROPER CREDIT, RETURN A COPY OF THIS FORM WITH YOUR REMITTANCE TO: <br /> OREGON DEPARTMENT OF TRANSPORTATION <br /> 355 CAPITOL STREET NE, RM434 <br /> SALEM OR 97301-3872 <br /> EUGENE, CITY OF <br /> GRANT ACCT TAMMY SMITH FOR INFORMATION CONCERNING <br /> 858 PEARL STREET THIS INVOICE CALL: <br /> EUGENE OR 97401 (503)986-3879 <br /> <br /> i <br /> GENCY T/C CURR. DOC. DOC. DATE VENDOR NO./SUFFIX UNIT <br /> 73 350 52918 -00 9901 <br /> ACCOUNT NO. REVENUE ase'er CUSTOMER CUSTOMER REV CUSTOMER <br /> SOURCE SOIIRtE AMOUNT DUE AMOUNT REMITTED REFERENCE <br /> VF 5 -OffO: 1> 8~4 0 <7: 6 - G N <br /> R ...l 2..4 ~ al .....:22::..:.....::;.::: ;::<..::::..;:.~2.:38 21...2' 0 <br /> R :F1 Zl ~4 x.81: .;:...::<>::>::;:::;»>::><>::>::>~::::::.::::>:::::::: 2221,. >:PE <br /> RUF1775Cx..Q~Q:. .gL..... 844.B1B...:::23 ~ :33,56 22281."' P:E <br /> RVF17617-000 O1 844010 21 3.51 ® 23076 - PE <br /> : <br /> . <br /> fib. -.~a.~'~:..a L... '`~F,•ii:::::~::::~ <br /> r <br /> i`:i ~ <br /> x 6 <br /> AMOUNT DUE '>zz~ <br /> ::=::$9........ <br /> 734-3158AQ3-88) <br /> <br />